Abstract: A remote-detection system is provided for monitoring changes in permittivity associated with physiological activity of a subject that is free to move. The system includes a source containing an oscillator configured to illuminate tissue of the subject with an electromagnetic signal beam. The system further includes a receiver configured to receive reflections of the electromagnetic signal beam from the subject. The reflections include amplitude variations indicative of motion of the illuminated tissue and amplitude variations indicative of time dependent variations in the permittivity of the illuminated tissue associated with electrical activity of the subject's heart.

Abstract: An apparatus for causing air flow to vibrate a selected tissue includes a tube and a deflector. The tube defines a passage for guiding air flow from an inlet to an outlet thereof. The deflector is disposed to receive the air flow from the outlet of the tube. The configuration of the deflector is such as to channel air flow from the outlet past the selected tissue. This causes vibration of the selected tissue.

Abstract: A microsampler puncturing system for collecting a body fluid from a body part is described, comprising a sample collection unit having a piercing element, and a puncturing instrument having a drive, by which a sample collection unit is movable on a movement path for piercing the piercing element into the skin of the body part and withdrawing it in a piercing and retraction movement, a setting device for setting the puncturing depth of the piercing wound to be generated, and a control device for controlling the piercing and retraction movement having the following sequentially executed movement phases: a forward phase, a retraction phase, and a collecting phase (S). The setting device is settable independently of the chronological mean <dr> of the defined residual puncturing depth (dr), with reference to the collecting phase.

Abstract: Systems for and methods of assessing urinary flow rate via sound analysis. Embodiments of the uroflow measurement systems include a computer and a telephone or a digital recording mechanism to capture the sound of one or more urination events, which are stored as audio files in a database The uroflow measurement systems may include sound analysis software for analyzing the strength and duration of each urination event and may include a web-based uroflow software application for viewing the results via the Internet or other network In one embodiment, the sound analysis software performs the steps of reading in the raw data of a selected audio file, generating a plot of the audio signal amplitude vs.

Abstract: A coupling wire guide structured to be slidably coupled to a previously introduced wire guide. The coupling wire guide includes a main body having a distal section. The distal section includes an outer wire disposed over a safety wire. A loop wire is connected to the safety wire at two axially spaced points. At least a portion of the loop wire is positioned outside of the outer wire to define a loop area sized to receive the previously introduced wire guide.

Abstract: The present invention provides a medical device for measuring cervical dilation, where the medical device is positionable about a hand having first and second fingers, with each finger having a tip and a side surface. The medical device may include a housing, a first extension element movably coupled to the housing, a second extension element movably coupled to the housing, and a dilation indication mechanism to measure a distance between the first and second extension elements. The medical device may also include a first lateral pressure sensor positionable about a side surface of the first finger, a second lateral pressure sensor positionable about a side surface of the second finger, a third pressure sensor positionable about a tip of the first finger, and a fourth pressure sensor positionable about a tip of the second finger.

Abstract: The invention provides a leg massage machine comprising recessed receiving portions and leg receiving portions which are made movable together rockingly for massaging the feet and calves of the user, respectively. The leg massage machine has recessed receiving portions (70) for inserting the respective feet of the user and leg receiving portions (74) for inserting the respective calves of the user, the recessed receiving portions (70) and the leg receiving portions (74) each having massage means on side walls and/or a bottom wall thereof. The massage machine has a base assembly (20) to be placed on the floor, and a reclining movable assembly (50) rockingly movable forward and rearward relative to the base assembly (20). The recessed receiving portions (70) and the leg receiving portions (74) are provided in the reclining movable assembly (50) and movable together rockingly.

Abstract: A therapeutic pillow includes a flexible body with mated inner and outer layers. Such an inner layer has an outer perimeter that terminates inwardly of an outer perimeter of the outer layer. The apparatus further includes a plurality of spherical objects removably situated within the body and directly abutting an inner surface of the inner layer. Each of the spherical objects has a unique diameter. The body has right and left ends selectively folded along a centrally registered latitudinal axis registered orthogonal to a longitudinal length of the body wherein the right and left ends are directly engaged in such a manner that the spherical objects are prohibited from escaping beyond the respective outer perimeters of the inner and outer layers during operating conditions.

Abstract: A motion controlling hinge for an orthopedic brace is provided. The hinge includes an actuator secured to one arm, and at least one spring member. As the arm with the actuator pivots in a first direction, at a predetermined flexion angle the actuator applies a force to the spring member, causing the spring member to flex. The spring member exerts a force on the actuator tending to bias the actuator away from the spring member, and tending to bias the arm in a second direction opposite the first direction. In one embodiment, the spring member comprises a plurality of flat bar leaf springs. A movable fulcrum enables adjustment of a force exerted by the spring member on the actuator. A variety of differently sized adapters are securable to the actuator. The size of the adapter determines the flexion angle at which the spring member first exerts force on the actuator. In some embodiments, the hinge includes an “ON”/“OFF” switch that enables a user to disengage biasing force provided by the spring member.

Abstract: A system and method for applying therapeutic forces to the vertebrae contained within a section of a patient's spine. The system utilizes a flexible pressure blanket having two ends and both a top surface and a bottom surface that extend between those two ends. A patient is asked to lie in a supine position on an elevated platform. The flexible pressure blanket is draped over the patient, wherein a central section of the flexible pressure blanket contacts the patient and end sections dangle freely on opposite sides of said patient. Weight elements are attached to the flexible pressure blanket to effect therapeutic forces upon the spine of the patient. The weight elements can be attached in-line with individual vertebrae in the spine. In this manner, forces acting in different directions can be experienced by the spine, thereby manipulating the spine from the benefit of the patient.

Abstract: A device for use in the total cavopulmonary connection (TCPC) in order to optimize its hemodynamics. Although the current procedure of choice for single ventricle heart repairs, the TCPC has reduced the post-operative mortality to the level of simpler types of congenital heart disease repairs, Fontan patients are still subjected to serious long-term complications. The TCPC procedure, which restores the vital separation between oxygenated and deoxygenated blood, also leads to an increased workload for the remaining single ventricle, as it is now responsible for pumping the blood through both the systemic and pulmonary circulation. The present device reduces this workload by altering the surgically created design of the TCPC. Improved fluid mechanics and reduced energy dissipation at the connection site translates into less work for the single ventricle and improved transport of deoxygenated blood to the lungs, which may in turn contribute to improved post-operative results and quality of life.

Abstract: An object-delivery shuttle for delivering an object over an elongate medical device, such as a wire guide, to a desired location within a body.

Abstract: A device for regulating the concentration of glucose in the blood of a diabetes patient includes a measuring component for measuring the concentration, a pump component for selectively introducing glucagon, or glucose instead, or insulin into the body of the patient, for instance by way of at least one hypodermic needle to be inserted into the body of the patient; and a control component which receives signals from the measuring component which are representative of the concentration and which control the pump component on the basis of at least one reference value for the concentration pre-entered into the control component and a program; wherein the device is embodied such that the measuring component and the pump component can be in substantially permanent contact with the bodily fluid or the blood of a patient.

Abstract: An arrangement is provided for monitoring a metering of at least one medication administered to a patient. The concentration of the active ingredient of the medication, which is measured in the breathing gas of a patient, is balanced with a computed concentration in the breathing gas. When a change of the administered quantity of the medication takes place, the concentration range (13) is adapted. The concentration, which is measured in the breathing gas, must lie by computation within this range. An arrangement for administering at least one medication and a method for monitoring a metering or dosing of the medication as well as a method for treating a patient are provided.

Abstract: A device that supports a breast pump in a “hands-free” manner is disclosed. The device includes a cover with an opening and strap that connects the cover to an article of clothing such as a nursing bra. When connected, the device securely orients a breast shield of a breast pump over the breast of a user.

Abstract: Heat transfer catheter apparatus and methods of making and using same are disclosed wherein fluid connection means is provided between the distal portions of two adjacent, thin-walled, high strength fluid lumens to define a closed loop fluid circulation system capable of controlled delivery of thermal energy to or withdrawal of thermal energy from remote internal body locations.

Abstract: A single operator exchange biliary catheter having a tubular member extending proximally from the proximal guidewire port. The tubular member defines a guidewire lumen extension adapted to permit the guidewire to be retracted from guidewire lumen and re-inserted therein. By retracting the guidewire from the guidewire lumen and into the guidewire lumen extension, fluid may be readily injected via the guidewire lumen without encountering resistance to fluid flow from the guidewire. The guidewire lumen extension also maintains guidewire lumen access such that the guidewire may be easily re-inserted into the guidewire lumen.

Abstract: Apparatus and methods for providing access to a body cavity without substantial loss of inflation gas therein. The apparatus includes an access assembly that has a tubular member having a proximal end, a distal end, an elastic portion interposed the proximal end and the distal end, and a lumen therethrough. An anchor sleeve is disposed coaxially over the tubular member and has a radially expandable region. The anchor sleeve is moveable between an axially elongated configuration and an axially shortened configuration and is biased toward the axially shortened configuration by a force exerted by the elastic portion of the tubular member. The axially shortened configuration corresponds to the anchor sleeve being in the fully deployed position. Methods for providing anchored access to a cavity within a patient are also disclosed.

Abstract: An injection device includes a dispensing chamber, a plunger, a controller, a memory device resistant to sterilization, and a housing at least partially enclosing the dispensing chamber and the plunger. The dispensing chamber has an inner surface and an outer surface. The inner surface defines a cavity for receiving a quantity of a substance. The plunger is engaged with the inner surface of the dispensing chamber, is capable of sliding in the cavity of the dispensing chamber, and is fluidly sealed to the inner surface of the dispensing chamber. The controller controls the operation of the injection device. The controller reads dosage data from the memory device and operates the injection device to deliver a dosage corresponding to the dosage data.

Abstract: An insufflation gas warmer and humidifier apparatus and methods are provided. Insufflation gas is received from a bulky insufflation tubing. Insufflation gas received travels through, in one aspect, a channel or winding flow path, in a passage. The configuration of the passage ensures that the insufflation gas, which travels through the passage, receives sufficient heat and moisture. A humidifying reservoir humidifies the insufflation gas as the insufflation gas is passed to the passage. In one aspect, an oxygenator introduces slight amounts of oxygen into the insufflation gas. A warmer connected to the passage warms the gas in the passage. The warmer, in one aspect, contains a reactive agent that when exposed to air produces heat that is transferred to the passage to warm the insulation gas within the passage.

Abstract: An autoinjector useful for, inter alia, providing an injection of liquid medicament is disclosed, which includes a needle depth adapter for achieving a desired injection depth.

Abstract: A surgical system that is able to sense the onset of an occlusion or other surgical event as well as when an occlusion breaks. To help avoid overheating of the tip, the system of the present invention predicts the temperature of the eye using irrigation flow rate and reduces the power to the handpiece automatically if an overheating situation is predicted. Alternatively or in addition, the system of the present invention monitors the power drawn by the handpiece, which is indicative of the cutting load on the tip, and automatically adjusts the power or stroke of the tip to compensate for increased loads on the tip.

Abstract: A medical device is provided. The medical device includes a sheath with an extended distal end portion, a proximal end portion, and a lumen defined therethrough. A handle is fixedly connected to the proximal end portion of the sheath, the handle includes an operator that is translatable between a first position and a second position. A flow path is defined within the handle in fluid communication with the proximal end portion of the sheath, wherein the operator is configured to substantially block the flow path in a second position and allow flow therethrough in a first position. The flow path includes a portion that is configured to communicate with a remote source of suction. The handle additionally includes a second inlet portion configured to receive a tool therethrough and allow the tool to extend through the lumen of the sheath.

Abstract: Methods and apparatus are disclosed for making and using adjustable epidermal tissue ingrowth cuff and catheter assemblies for transcutaneous placement to provide periodic or continuous external access for medical purposes to an interior body region of a patent who requires such medical treatment over an extended period of time.

Abstract: A securement device includes a simply-structured retention mechanism that permits a portion of a catheter hub or a similar medical article to be easily anchored to a patient, without the use of tape or needles and suturing. A unitary retainer desirably includes a base defining a locator mechanism. The locator mechanism interacts with a fitting of the medical device so as to position the medical device relative to the retainer. The locator mechanism also desirably guides the medical device fitting into contact with an adhesive member mounted on an outer surface of the retainer. In one form, the locator mechanism includes one or more posts that engage mating holes defined in the medical device fitting. In other forms, the locator mechanism includes a cradle defining an arcuate channel to receive a convex surface of the medical device, or a recess shaped to matingly receive the fitting.

Abstract: A pneumatic retractable syringe has a plunger having an interior retraction lumen. The plunger and syringe barrel have cooperating locking elements so that the plunger is locked after use within the syringe barrel. After injection of medicament is completed, the needle is retracted into the lumen by compressed gas that is released from a gas cell within the syringe when the gas cell is ruptured just before the plunger reaches the end of its downstream path of travel.

Abstract: Apparatus for delivering a quantity of fluid to bone marrow of a bone or providing access to remove fluids from a target site is provided. The apparatus may include a driver, a plunger operating and cartridge assembly mechanism, a cartridge assembly having a fluid reservoir and a bone penetrating needle.

Abstract: A single-use cover assembly that obscures a substantial majority or an entirety of an injection needle from view before, during, and after an injection procedure. The cover assembly includes a housing and a needle sleeve that retracts and extends by sliding axially within the housing. The needle sleeve carries a locking collar that moves from a first position to a second position once the needle sleeve is fully retracted. In the first position the locking collar allows retraction of the needle sleeve from a fully extended position. In the second position, a portion of the locking collar covers a tip of the needle, thereby preventing retraction of the needle sleeve from the fully extended position.

Abstract: A system includes a durable portion with a durable housing and a separable disposable portion with a disposable housing that selectively engage with and disengage from each other. The disposable housing secures to a patient and may be disposed of after it has been in use for a prescribed period. Components that normally come into contact with a patient or with an infusion medium may be part of the disposable portion to allow for disposal after a prescribed use. A reservoir for holding the infusion medium may be part of the disposable portion, and may be supported by the disposable housing. The durable portion may include other components such as electronics for controlling delivery of the infusion medium from the reservoir, and a drive device including a motor and drive linkage.

Abstract: A dose metering mechanism for setting a dose to be administered from an injection device, the mechanism including a setting sleeve marked with dose amounts by which a dose to be administered is set by rotation, and a rotating sleeve which can be rotated out of the dose metering mechanism to prime the dispensing of a dose and is marked with dose amounts, the setting sleeve coupled to the rotating sleeve whereby when the rotating sleeve is fully rotated out, the dose amount of the setting sleeve is not offset from an associated dose amount of the rotating sleeve.

Abstract: A dialysis valve includes a tube attached between an artery and a vein which, when elongated, simultaneously narrows in diameter at least one location. The narrowed portion of the tube decreases the volume and velocity between the arterial and venous side of the patient to prevent damage or intimal hyperplasia on the venous side between dialysis treatments. When the valve is opened for dialysis, an unrestricted blood flow exists between the arterial and venous side, permitting a controlled, open blood flow during dialysis.

Abstract: An ultrasonic probe with an ultrasonic head (K), which is arranged on or in a shaft (S) and is moveable with or in this shaft, and a positioning apparatus (P) for at least one examination or operating device is described, which is connected with the shaft. Also, medical operating apparatuses with examination probes and uses of the ultrasonic probe and the medical implements are described.

Abstract: An access portal is provided including a housing, a body defining a fluid reservoir, and a septum enclosing the fluid reservoir. A stem in fluid communication with the fluid reservoir extends from the fluid reservoir. The access portal also includes a reservoir insert disposed within the fluid reservoir, in which the reservoir insert decreases the fluid fill volume of the reservoir.

Abstract: A kit is provided, which comprises a) a collagen patch and b) an adhesive composition comprising (i) fibrin, fibrinogen or a combination thereof, and (ii) a biocompatible polymer capable of forming a viscous aqueous solution. Also provided is use of the kit for the preparation of a sealing device for use in ophthalmic surgery to replace a natural lens which has been removed, in which sealing device the collagen patch of the kit is adapted to seal an opening in a capsular bag of an eye while admitting the entrance of an injection device through the opening for injection of a lens-forming material into the capsule; and in which sealing device the adhesive composition of the kit is adapted to be applied to the collagen patch so as to enable adhesion of the collagen patch to the capsular bag. Also provided are methods for sealing an opening in a capsular bag of an eye, in which methods the kit is employed.

Abstract: A device is made up of one piece, or two independent pieces, that can be linked with each other to make a unit. The anterior end of a drainage tube is introduced 2 mm into the anterior chamber of the eye while the rear end of the tube is placed in the scleral lake. A cover is a plane body slight in height and oval or oblong in format that is provided with four parallel cuts that create two girths. The said girths are used to retain the drainage tube below the cover, thus creating a curvature in it to form a concave inner surface and a convex outer surface.

Abstract: A system for stimulating the healing of tissue comprises a porous pad positioned within a wound cavity, and an airtight dressing secured over the pad, so as to provide an airtight seal to the wound cavity. A proximal end of a conduit is connectable to the dressing. A distal end of the conduit is connectable to a negative pressure source, which may be an electric pump housed within a portable housing, or wall suction. A canister is positioned along the conduit to retain exudates suctioned from the wound site during the application of negative pressure. A first hydrophobic filter is positioned at an opening of the canister to detect a canister full condition. A second hydrophobic filter is positioned between the first filter and the negative pressure source to prevent contamination of the non-disposable portion of the system by exudates being drawn from the wound. An odor filter is positioned between the between the first and second hydrophobic filters to aid in the reduction of malodorous vapors.

Abstract: An absorbent article including a cover layer, a barrier layer and an absorbent system arranged between the cover layer and the barrier layer, the absorbent article being drapeable and possessing the absorbency attributes required of a sanitary napkin.

Abstract: An absorbent article such as a sanitary napkin, adult incontinence device, or the like. The absorbent article has a pair of flaps for securing the absorbent article. The flaps extend laterally outward from the main body portion of the article. The flaps are associated with the main body portion at a juncture along the longitudinal edges of the main body portion. The flaps have a notch. The flaps have at least one first zone of anisotropic stiffness contiguous with the notch. The first zone of anisotropic stiffness has a relatively stiffer direction and a relatively less stiff direction. The first zone of anisotropic stiffness can be made of corrugated or ring-rolled portions of the absorbent article.

Abstract: A disposable absorbent article has a nanofabricated attachment means having adhesive hairs disposed on a substrate wherein the hairs are effective to adhesively engage an opposing surface having a polymeric film or a fibrous web. In another embodiment, the absorbent article has a gecko-like fastener including a substrate and a plurality of adhesive hairs arising from the substrate having a base section, midsection, and top section, a height of about 0.5 microns to about 8 millimeters, and a diameter greater than about 0.05 microns.

Abstract: An article having a surface fastening system and a primary direction of load bearing. The surface fastening system includes at least one first fastening element and at least one second fastening element. The first fastening element further includes an attached portion, partially joined to the article, at least one liftable portion extending from the attached portion, and at least one hinge line disposed at an angle less than 90 degrees relative to the primary direction of load bearing, the hinge line is positioned between the attached portion and the liftable portion. At least one second fastening element is affixed at a second position to the article and configured to be engageable with the liftable portion of the first fastening element. Articles such as disposable diapers, bibs, clothing, etc. are disclosed.

Abstract: A ventilation bypass system which alleviates symptoms of chronic obstructive pulmonary disease by allowing air to exit the lung of a patient through the thoracic wall bypassing the natural airways. A pleurodesis is formed between the visceral and parietal membranes surrounding a lung and an opening is made through the thoracic wall into the lung via the pleurodesis. The ventilation bypass system includes a conduit placed through the opening in the thoracic wall into the lung, a flange for securing the conduit to the thoracic wall and preventing over-insertion of the conduit, and a flow control device for controlling flow of material out of the lung.

Abstract: A surgical fastening system for implantable devices is disclosed. The implantable device may contain a plurality of fasteners in pre-deployment position, may have a housing fitted over or around it which contains a plurality of fasteners in pre-deployment position, or may be a part of a two-part system into which it fits. Accordingly, the present invention also encompasses a deployment system or tool that optionally positions the implantable device, and which causes the fasteners to move into post-deployment position. The fasteners may be staples, metal loops, coils, springs or hooks formed of biocompatible materials, including shape memory alloys such as NiTi.

Abstract: A sensor is provided that is appropriate for transcutaneous detection of tissue or blood constituents. A sensor for tissue constituent detection may include a gas collection chamber with a conduit to a sensing component and a conduit from the sensing component to the chamber. A sensor as provided may also include a barrier layer to prevent water from infiltrating the sensor.

Abstract: A system includes a steerable device, such as a sheath or shaft, having proximal and distal ends. The steerable device includes an elongated body having a proximal section, a steering section, and a distal tip. Control wires are routed through the body and connected at or near the distal end of the steerable device. The system further includes a control unit to which the proximal end of the steerable device is functionally connected. In one embodiment, the control unit includes an actuator connected to one control wire and a biasing force generating device connected to a second control wire. The steering section is controllably manipulated by the control unit to facilitate steering of the distal tip of the steerable device as the steerable device is advanced through tortuous passageways of a patient's body.

Abstract: A fluid connector and method of use is disclosed that includes a male housing with a male proximal end portion adapted to be in fluid communication with a first line and a male distal end portion having a resilient ring. Also included is a female housing with a female proximal end portion adapted to be in fluid communication with a second line and a female distal end portion with a resilient annulus that removably engages the ring. Operationally, the male and the female housings are configured at the annulus and ring engagement to have a high separating resistance axially and a low separating resistance transverse to the axial axis by manually applying a bending moment between the male and female engaged housings by a force transverse to the axial axis. Further included is structure for fluid sealing between the male and female housings when the annulus and ring are engaged.

Abstract: A drug delivery system provides for mixing various drugs in an optimally controlled manner, for using flow controllers to guide multiple drugs into a single or into multiple catheters, for enabling a single lumen catheter to treat a specific region with several drugs, for allowing for dilution of a concentrated drug in order to both increase the time between refilling and also for providing any concentration of a drug that might be desired, for using a buffer fluid to deliver exact amounts of several drugs from the same catheter or to separate several drugs within a single catheter, for using external fluid present in the human body either as a diluent or buffer fluid, and for providing for a drug testing/filler apparatus to be used prior to implant to ensure proper function and easy means of filling multiple reservoirs with different fluids, and also after implant for refilling operations.

Abstract: Systems and method for determining ablation beam characteristics are provided. Methods include ablating an article with the ablation beam to form a test location having an ablation depth, transmitting a first beam through the test location of the article, transmitting a second beam through a reference location, and determining an ablation beam characteristic based on a phase relationship of the first beam and the second beam downstream of the article. Systems include a light source assembly transmitting a first beam through an ablated test location of an article and a second beam through a reference location disposed outside of the test location, a sensor assembly detecting a first beam and second beam superimposition downstream of the article, and a phase relationship code module for determining a phase relationship between the first beam and the second beam, based on the first beam and second beam superimposition.

Abstract: A method and apparatus, of providing endovascular therapy. The steps include arranging optical fibers within a catheter, the catheter having a tip whose length is at least 1 cm and whose diameter of less than 1 millimeter, connecting an excimer laser to the optical fibers; and delivering laser energy from the excimer laser in excess of a fluence of 60-mJ/mm2 at 40 Hertz through the optical fibers. The delivering of the laser energy may be to non-calcified or calcified deposits of an atherosclerotic lesion to ablate the same. The method also includes the step of inserting the catheter through an artery by pushing the same until the tip is in within laser energy striking distance of the atherosclerotic lesion.

Abstract: The invention provides an electrosurgical unit comprising a radio-frequency power source and a pump, with the throughput of fluid expelled by the pump controlled by the RF power level setting and fluid flow rate setting. The invention also provides various electrosurgical devices which may be used with the electrosurgical unit. In one embodiment, the electrosurgical device comprises a first electrode tip spaced next to a second electrode tip with a portion of the first electrode tip facing the second electrode tip and a portion of the second electrode tip facing the first electrode tip, the first electrode tip and the second electrode tip both having a spherical distal end, and a fluid outlet arrangement to expel fluid onto the electrode tips solely at locations remote from the electrode tip portions facing each other.

Abstract: An open electrosurgical forceps for sealing tissue includes a pair of first and second shaft members each having a jaw member disposed at a distal end thereof. The jaw members are movable from a first position in spaced relation relative to one another to at least one subsequent position wherein the jaw members cooperate to grasp tissue therebetween. Each of the jaw members includes an electrically conductive sealing plate for communicating electrosurgical energy through tissue held therebetween. At least one of the jaw members includes a knife channel defined along a length thereof which is dimensioned to reciprocate a cutting blade therealong. An actuator is included which is operatively connected to one of the shaft members and selectively advances the cutting mechanism from a first position wherein the cutting blade is disposed proximal to tissue held between the jaw members to at least one subsequent position wherein the cutting blade is disposed distal to tissue held between the jaw members.